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D8040 Medicaid reimbursement rates by state

Dental services. 8 state Medicaid programs publish a fee-for-service rate for D8040 at the physician psychologist level. Rates run from $73.09 in Minnesota to $2,550.02 in Indiana, with a median of $946.80.

Data as of 2026-10-05. Every rate links to the official document it came from.

States publishing
8
Median rate
$946.80units vary by state
Highest
$2,550.02Indiana
Medicare (non-facility)
—not on the physician fee schedule

D8040 rate in every state

One like-for-like fee-for-service rate per state, highest first. Units can differ between states; the per-hour column converts time-based units.

StateMedicaid rateUnitPer hourManaged-care plans% of MedicareSource
IndianaAny qualified provider (rate does not vary by provider) · Indiana Medicaid (fee-for-service)$2,550.02since 2024-01-01unit—Plans must pay at least this—IHCP Professional Fee Schedule (Last Upd
New JerseyAny qualified provider (rate does not vary by provider) · New Jersey Medicaid / NJ FamilyCare (fee-for-service)$1,888.00since 2014-07-01——Not classified—NJMMIS Procedure Master Listing children
MichiganAny qualified provider (rate does not vary by provider) · Michigan Medicaid (fee-for-service)$1,470.00since 2023-01-01——Plans negotiate; applies out of network—MDHHS Oral Maxillofacial Surgeon Fee Sch
WisconsinAny qualified provider (rate does not vary by provider) · Wisconsin Medicaid and BadgerCare Plus (fee-for-service, ForwardHealth maximum allowable fees)$980.00since 2022-01-01——Paid by the state, outside plans—ForwardHealth max fee schedule: Dental (
ArizonaAny qualified provider (rate does not vary by provider) · Arizona AHCCCS fee-for-service (AIHP, Tribal ALTCS, TRBHA and other FFS members)$913.59since 2026-10-01——Plans negotiate; applies out of network—AHCCCS FFS Capped Fee Schedule: Dental r
NevadaPhysician or licensed psychologist (incl. BCBA-D) · Nevada Medicaid (fee-for-service provider-type reimbursement schedules)$731.84since 2024-01-01——Plans must pay at least this—Provider Type 20 Physician, MD., Osteopa
VirginiaAny qualified provider (rate does not vary by provider) · Virginia Medicaid (fee-for-service, DMAS)$331.57since 2010-10-01——Paid by the state, outside plans—DMAS procedure fee file dental.csv
MinnesotaAny qualified provider (rate does not vary by provider) · Minnesota Health Care Programs: Medical Assistance (fee-for-service)$73.09since 2000-01-01——Plans negotiate; applies out of network—MHCP Fee Schedule - Current Fee Schedule

Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices with the CMS formula; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Frequently asked questions

What does Medicaid pay for D8040?

It depends on the state. Of the 8 states with a published fee-for-service rate, the median is $946.80. Indiana pays the most ($2,550.02 per unit) and Minnesota the least ($73.09).

Which state pays the highest Medicaid rate for D8040?

Indiana, at $2,550.02 per unit, effective 2024-01-01.

Do managed-care plans pay the same rate for D8040?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The table shows the rule for each state, cited to the contract or statute.

Related Dental codes

Track D8040 in your statesYour codes on one rate card: every payer's rule, Medicare comparison, rank and rate changes.
Medicaid rates by state